| Gateway Medical Specialists, Llc | |
|
795 E Marshall St Ste G2 West Chester PA 19380-4400 | |
| (610) 431-7929 | |
| (610) 594-2625 |
| Full Name | Gateway Medical Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 795 E Marshall St Ste G2, West Chester, Pennsylvania |
| Authorized Official Name and Position | Timothy Rodgers (CEO) |
| Authorized Official Contact | 6105947590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Specialists, Llc 412 Creamery Way Ste 400 Exton PA 19341-2551 Ph: (610) 594-7590 | Gateway Medical Specialists, Llc 795 E Marshall St Ste G2 West Chester PA 19380-4400 Ph: (610) 431-7929 |
| NPI Number | 1912429739 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Medicare PECOS PAC ID | 7517225949 |
|---|---|
| Medicare Enrollment ID | O20171213000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912429739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Arti A Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275662280 PECOS PAC ID: 4981700978 Enrollment ID: I20070508000629 |
| Provider Name | Christopher Bruno |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932385408 PECOS PAC ID: 2062604507 Enrollment ID: I20101004000075 |
| Provider Name | Christina Reilly Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235366436 PECOS PAC ID: 2860678315 Enrollment ID: I20110517000637 |
| Provider Name | Debbie Preble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124165170 PECOS PAC ID: 4082891049 Enrollment ID: I20110601000135 |
| Provider Name | Neema Y Chokshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164696274 PECOS PAC ID: 5496997561 Enrollment ID: I20130820000676 |
| Provider Name | Anitha Somasundaram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750674909 PECOS PAC ID: 9032358122 Enrollment ID: I20160816000921 |
| Provider Name | Sirisha Reddy Thambuluru |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669907440 PECOS PAC ID: 0042587800 Enrollment ID: I20220811000496 |
| Provider Name | Amy Knickerbocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209031 PECOS PAC ID: 8527306505 Enrollment ID: I20240126003224 |
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